Individual
ANDREEA TATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 LIVERNOIS RD STE 101, TROY, MI 48083-1603
(248) 544-0360
(248) 544-0388
Mailing address
2221 LIVERNOIS RD STE 101, TROY, MI 48083-1603
(248) 544-0360
(248) 544-0388
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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